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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 陳端容(Duan-Rung Chen) | |
dc.contributor.author | Chia-Ying Wu | en |
dc.contributor.author | 吳佳穎 | zh_TW |
dc.date.accessioned | 2021-06-16T22:59:43Z | - |
dc.date.available | 2021-03-12 | |
dc.date.copyright | 2020-03-12 | |
dc.date.issued | 2020 | |
dc.date.submitted | 2020-02-25 | |
dc.identifier.citation | 中文文獻
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(2001). Factors associated with nursing home entry for older people in Taiwan, Republic of China. Journal of interprofessional care, 15(3), 245-255. Tsai, D. F. (2005). The bioethical principles and Confucius’ moral philosophy. Journal of medical ethics, 31(3), 159-163. Taylor, D. M., & Cameron, P. A. (2002). Advance care planning in Australia: overdue for improvement. Internal medicine journal, 32(9-10), 475-480. Wolf, S. M., Boyle, P., Callahan, D., Fins, J. J., Jennings, B., Nelson, J. L., . . . Emanuel, L. (1991). Sources of concern about the patient self-determination act. New England Journal of Medicine, 325(23), 1666-1671. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/64805 | - |
dc.description.abstract | 本研究目的是在探討住院患者家屬對「病人自主權利法」的認知、態度和預立醫療決定行為意向及其相關因素探討,採橫斷式相關性研究,並以自擬結構式問卷作為調查工具。自2019年3月至2019年10月進行調查,於台北某國立醫學中心內外科病房及加護病房之住院患者家屬為訪問對象,共發出100份問卷,而有效樣本為80份,約80%回收率。
研究結果發現:1.本研究之住院患者家屬對「病人自主權利法」的認知得分不低,對於法案的法律相關條文較不清楚,較了解的部分為法案的理念與定義,在性別、婚姻狀態與生活品質達到統計上顯著。2.對於「病人自主權利法」的態度趨於正向,僅性別達到統計上顯著。3.面對疾病末期時,選擇醫療方式的考量因素,個人方面:以治療後能不能恢復清醒和行動是否依舊自主,家庭方面:治療後會不會造成經濟負擔為主要考量。4.面臨疾病末期時,當自己最親近的人和自己處於相同病況情境時,面對親近的人所採取或支持的醫療選擇,趨於積極想延長其生命長度。5.對病人自主權利法持正向態度、好的生活品質是預立醫療決定行為意向的預測因子。 結論:多數人對於「病人自主權利法」的內容有基本的認識,卻不清楚這法案的真正涵義。透過政府機關的宣導、醫療院所及第一線的醫療工作人員也是好的推廣者,才能達到這法案立法的立意目的。 | zh_TW |
dc.description.abstract | The purpose of this study was to investigate the knowledge, attitude toward Patient Autonomy Act and behavioral intention toward Advance Directive among the inpatients’ family. It was conducted using a cross-sectional research method and the instrument was a self-designed structured questionnaire. From March 2019 to October 2019, inpatients’ family was recruited from a norther academic medical center. The study distributed 100 questionnaires and 80 questionnaires were returned with 80% of returning rate.
The results revealed 1. The knowledge score of inpatients’ family toward Patient Autonomy Act was not low. The relevant provisions of the act of the article were not clear, and the more understood part was the concept and definition of the article. The study was statistically significant in terms of gender, marital status and quality of life. 2. The attitude of inpatients’ family toward Patient Autonomy Act tend to be positive, and the only gender was statistically significant. 3. In the terminal condition, the top three issues: whether clear consciousness could be regained, whether mobility could be recovered, and if the resulting condition after treatment caused a heavy financial burden. 4. When the inpatients’ family and the person closest to them were in the same terminal condition, they wanted to lengthen the closest one’s life expectancy. 5. The predictors of the behavioral intention toward Advance Directive included positive attitude and good quality of life The results of the study were that most people had a basic understanding of the content of the Patient Autonomy Act, but they were not knowing the true meaning of the article. In order to achieve the legislative purposes, it could be through the advocacy of government agencies, medical institutions, and medical staff. | en |
dc.description.provenance | Made available in DSpace on 2021-06-16T22:59:43Z (GMT). No. of bitstreams: 1 ntu-109-R04847009-1.pdf: 2618134 bytes, checksum: 02fe3890e12887f59bc2c2789135ee4f (MD5) Previous issue date: 2020 | en |
dc.description.tableofcontents | 論文口試委員審定書·······································i
致謝···················································ii 中文摘要···············································iii 英文摘要···············································iv 目錄···················································v 圖目錄·················································vi 表目錄··················································vi 附錄··················································vii 第壹章 緒論 第一節 實習單位特色與簡介·····························1 第二節 研究背景與動機·································2 第三節 研究目的······································3 第貳章 文獻查證 第一節 病人自主權·····································7 第二節 各國病人自主權利探討···························9 第三節 病人自主與預立醫療指示態度······················14 第四節 病人自主與預立醫療行為相關因子··················16 第參章 研究方法 第一節 研究設計······································18 第二節 研究架構······································18 第三節 研究對象······································21 第四節 研究工具······································21 第五節 資料收集過程··································24 第六節 資料分析方法··································24 第七節 研究倫理考量··································25 第肆章 結果 第一節 基本資料·····································26 第二節 對「病人自主權利法」的認知、態度與預立醫療決定行為之意向···················································27 第三節 面對疾病末期時,為自己或最親近的人選擇治療方式的影響因素··················································30 第四節 對「病人自主權利法」的認知、態度與預立醫療決定行為意向相關性···············································33 第伍章 討論 第一節 對於「病人自主權利法」的認知與態度··············35 第二節 影響治療的相關因素考量·························36 第三節 面對疾病末期時,考量的因素及選擇················37 第四節 預立醫療決定行為意向···························38 第陸章 討論與建議 第一節 結論·········································40 第二節 建議與回饋···································41 第三節 相關政策建議··································42 圖目錄 圖1 住院患者家屬對「病人自主權利法」的認知、態度及預立醫療決定行為意向之研究架構··································20 圖2 面對疾病末期時,影響治療方式的相關因素···········50 圖3 受訪者與這位最親近的人的關係······················51 表目錄 表1 住院患者家屬基本人口學變項·······················51 表2 知不知道「病人自主權利法」······················55 表3 對「病人自主權利法」的認知······················56 表4 對「病人自主權利法」的態度······················57 表5 預立醫療決定行為之意向·························58 表6 面對疾病末期時,影響治療方式的相關因素···········59 表7 當自己有重度失智症,面臨各種醫療狀況,選擇的治療方式60 表8 當自己最親近的人有重度失智症,面臨各種醫療狀況,選擇的治療方式··············································61 表9 治療後,需不需要依賴他人照顧··················62 表10 治療後,可不可以恢復清醒·······················64 表11 治療後,行動可不可以依舊自主·················66 表12 治療後,會不會造成未來家庭經濟負擔··············68 表13 面臨不可逆疾病時,自己與為最親近的人所做決定之差異·70 表14 面臨不可逆疾病時,自己與為父母所做決定之差異·····71 表15 面臨不可逆疾病時,自己與為配偶所做決定之差異······72 表16 面臨不可逆疾病時,自己與為子女、手足、朋友所做決定之差異···················································73 表17 性別與知不知道「病人自主權利法」差異············74 表18 人口學變項與知不知道「病人自主權利法」差異······74 表19 人口學變項與對「病人自主權利法」之認知差異·······76 表20 人口學變項與對「病人自主權利法」之態度差異········78 表21 人口學變項與預立醫療決定行為意向差異············80 表22 預立醫療決定行為意向的預測因子迴歸分析···········82 附錄 附錄一 案例說明·····································83 附錄二 研究受訪者說明及同意書·······················84 附錄三 問卷內容····································89 附錄四 台大醫院研究倫理委員會同意函··················95 | |
dc.language.iso | zh-TW | |
dc.title | 住院患者家屬對病人自主權利法認知、態度及預立醫療決定行為意向之相關研究 | zh_TW |
dc.title | A study on the Knowledge, Attitude toward Patient Autonomy Act and Behavioral Intention toward Advance Directive among the InPatients’ Family | en |
dc.type | Thesis | |
dc.date.schoolyear | 108-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 黃心慈,張厚台 | |
dc.subject.keyword | 病人自主權利法,住院患者家屬,疾病末期考慮因素,醫療選擇,預立醫療決定行為意向, | zh_TW |
dc.subject.keyword | Patient Autonomy Act,inpatients’ family,terminal considerations,medical options,behavioral intention toward Advance Directive, | en |
dc.relation.page | 95 | |
dc.identifier.doi | 10.6342/NTU202000602 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2020-02-26 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 公共衛生碩士學位學程 | zh_TW |
顯示於系所單位: | 公共衛生碩士學位學程 |
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